Protection against severe infectious disease in the past

The ailments that stem from cheese and relevant precautions taken in the Ottoman Empire from the 19th century to the 20th century

The increase in cheese production, sale, and consumption due to the settled lives of societies has led to an increase in cheese-related diseases. It has become essential to better understand cheese-borne diseases and to develop control measures. In this study, cheese-related diseases and precautions taken in the Ottoman Empire from the 19th to the 20th centuries were investigated in Ottoman archival sources. Of these documents, cheese spoilage was detected in 12 and cheese-related disease in 9. Cheeses that caused diseases or disorders in the relevant period were called spoiled cheese. One document states that a person died of a cheese-borne illness. Cheese poisoning occurs mainly from unsalted, fresh cheeses. It has been determined that tin-free copper pots were used in cheese production and sales and covered with herbs such as hemlock during maturation. In the relevant period, microbiological and chemical analyses of cheeses in terms of health were carried out in food control laboratories. Since the mercury chloride solution is used to disinfect animal udders, it has been stated that it contaminates the milk used in cheese production. Authorities have requested a boric acid solution (5% boric acid in hot water) instead of this solution for udder disinfection. In the Ottoman Empire, it was requested to take necessary sanitation and hygiene measures to prevent spoilage and cheese-related diseases in the production areas or sales places of cheese. Clean and tinned containers should be used in cheese production, storage, and sale, and poisonous herbs should not be used during cheese ripening. It was also essential to analyze them in laboratories at internal and external customs. Knowing the precautions taken in the past to prevent the deterioration of food or the occurrence of diseases has led to modern food safety practices being applied today.

Vaccine Hesitancy Phenomenon Evolution during Pregnancy over High-Risk Epidemiological Periods-"Repetitio Est Mater Studiorum"

(1) Background: The recent epidemiological events were high-stress level generators for humanity, particularly for pregnant women, influencing their attitude, behavior, and decisions regarding vaccination during pregnancy or regarding their future child. The aim of this study was to analyze the anti-pertussis vaccination decision-shaping factors in pregnant women during two epidemiological periods: the measles epidemic and the COVID-19 pandemic. (2) Methods: Two groups of pregnant women were invited to be part of a medical education program, having as the main theme the infectious disease risks and their prevention through vaccination. Before launching the program, participants received a 12-item questionnaire. From a total number of 362 pregnant women enrolled in the study, 182 participated in 2019, and 180 participated in 2022. (3) Results: The socio-demographic data revealed that the age of pregnant women participating in medical education programs increased in 2022 by 1.7 years (p < 0.01). In vitro fertilization was reported in a significantly higher proportion (20% in 2022 vs 9.8% in 2019, p < 0.01). Participation in community-initiated educational programs almost doubled during the pandemic time from 18.7% in 2019 to 33.9% in 2022 (p < 0.01). Pertussis vaccine acceptancy (VA) dropped from 85% in 2019 to 44.4% in 2022 (p < 0.01) (4) Conclusions: In this study, we reported fast-growing vaccine hesitancy and severe declared vaccine reluctance. The results of this complex long-term study, which evaluated pregnant women over several years, showed a five-fold increase in the percentage of pregnant women who disagreed with personal pertussis vaccination. This draws attention to the risks of pertussis epidemic outbreaks in pregnant women and their future infants in the first couple of months of life before the initiation of vaccination.

Metagenomic next-generation sequencing for the detection of pathogenic microorganisms in patients with pulmonary infection

OBJECTIVE

To explore the clinical value of metagenomic next-generation sequencing (mNGS) in diagnosing pulmonary infectious diseases.

METHODS

A retrospective analysis was performed on 82 patients with pulmonary infection who were admitted to the Eighth Affiliated Hospital of Guangxi Medical University & Guigang City People's Hospital from January 2020 to December 2021. The pathogens were detected by mNGS and conventional methods (culture and PCR). Then, the type and number of detected pathogens, as well as the specificity and sensitivity, were compared between the two methods. In addition, the positive rates of bacteria, fungi, tubercle bacillus, and mixed infection in bronchoalveolar lavage fluid, sputum, pleural effusion, and blood detected by mNGS, and the advantage in required test time were evaluated.

RESULTS

More types and numbers of pathogens were detected by mNGS with a higher sensitivity but a lower specificity, as compared to the conventional detection methods (all P<0.05). The positive rates and integrity rates of bacteria, fungi, and tubercle bacillus detected by mNGS were higher than those by conventional methods (all P<0.05). Moreover, there was no difference in the overall sensitivity of mNGS among different sample types, but the sensitivities of mNGS in bronchoalveolar lavage fluid and sputum samples were significantly higher than those of conventional methods (both P<0.05). The average test time for mNGS was shorter than that of conventional methods.

CONCLUSION

mNGS can detect more types and numbers of pathogenic microorganisms, improve the detection sensitivity, and reduce the detection time in patients with pulmonary infection.

Wild Animal Migration As a Potential Threat of Introduction of New Viruses into Russia

The SARS-CoV-2 pandemic has shown how serious the problem of re-emerging zoonotic infections is for our existence. Migrations of animals, which are natural reservoirs of a particular virus, play a colossal role in the spread of pathogens to new territories. Examples are the migrations of both land animals (carnivores, rodents, and ungulates) and many marine mammals (pinnipeds and cetaceans). Yet the most interesting from the point of view of the speed and range of the spread of viral infections are migrations associated with flights. In nature, these can be migrations of insects, bats, and, of course, birds. Unfortunately, there are very few studies on the migration of these animals in Russia. Considering the problems related to climate change and other environmental factors, it is important to obtain up-to-date data on the changing animal migration routes and, as a consequence, to develop domestic equipment, particularly transmitters, to fix them.

Foods to deliver immune-supporting nutrients

PURPOSE OF REVIEW

This article will briefly describe the role of specific dietary components, mainly micronutrients, in supporting the immune response and summarise the literature regarding foods and dietary patterns in the context of immunity and infectious illness. Literature on SARS-COV-2 infection and COVID-19 is referred to where appropriate.

RECENT FINDINGS

Micronutrients, other nutrients and plant bioactives have roles in supporting the immune response. Low status of a number of micronutrients is associated with increased risk and severity of COVID-19. Recent studies report associations of plant-based diets with lower risk of, and less severe, COVID-19.

SUMMARY

In order to support the immune response, sufficient amounts of a range of essential and non-essential nutrients and other bioactives, mainly from a plant-based diet should be consumed. Further research should define cause-and-effect relationships of intakes of individual dietary components and foods, and of dietary patterns with susceptibility to, and severity of, viral infections.